Individual provider Active NPI

Ann McCullough Efremoski, PA

  • Medical Physician Assistant
  • Kissimmee, FL
National Provider Identifier
1023300456
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9105836 Issued in FL
Practice address
700 W Oak St
Kissimmee, FL 34741-4924
Phone
(407) 518-5205
NPI assigned
May 3, 2011
Last updated
Sep 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9105836 FL Primary

Addresses

Primary practice location

700 W Oak St
Kissimmee, FL 34741-4924

Mailing address

8815 Conroy Windermere Rd # 305
Orlando, FL 32835-3129
Phone (260) 341-7765

Other names 1

  • Ann McCullough Efremoski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427002523 FL Practitioner - Physician Assistant 3476872300 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9105836FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/ Sunbelt, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Kadia Medical, LLC CurrentSince Aug 20, 2025 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

850 W Plymouth Ave
Deland, FL 32720
Phone (386) 337-3190

813 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (321) 300-4208

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1023300456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 CONROY WINDERMERE RD # 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353129",
            "telephone_number": "260-341-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414924",
            "telephone_number": "407-518-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFREMOSKI",
        "first_name": "ANN",
        "middle_name": "MCCULLOUGH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9105836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "EFREMOSKI",
            "middle_name": "MCCULLOUGH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.